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St Lucie County Inspection;, ¡:~~~~
2300 Virginia A venue /' Jú.'
~t Pierce, FL 349~2 I~
. (772) 462-2172 ."'~~ /
¡'CERTIFICATE OF TERMITE TREATMENT ~,,:/
CONSTRUCTION SOIL TREA TMENT
PERMIT# 07ol{-'05ð9 JOB ADDRESS <ðY2\ O~~)~ ~\c @La{
BUILDER Q~~
PEST CONTROL CONTRACTOR t '\ \ \ S e.tJ\ [NV \~~ JVle~\fV'\ ~ee-v J c~
\~- 9YL\QS
PEST CONTROL LICENSE #
We, the undersigned, hereby certify that we have pretreated tbe above..cJescribed construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet of area treated: J6b Chemicals used:~~~ ):~
Percentage of so Jut ion: i ~' Total gallons used:--J.D
Date of treatment: Q- t LAq Time of Treatment:
QFooting
f:] 1 st Treatment
o Re~treat
D Slab
. 0 1st Treatment
ORe-treat
! It'~ay
, ~{st Treatment
" 0 Re-treat
a Pools
o 1st Treatment
ORe-treat
o Other
o 1st Treatment
l:J Re-treat
Q Perimeter for Final Inspection
FBC104.2.6 Certificåt' of l'rot«ctive Tritatlnètl1fOT prellenJion oftermiJes~
A weather resistant jobsitt! posting board sha.ll be provided to receive
duplicate Treatment Certificatej a.f each required protective treatment is
completed. providing a copy for tlze person the permit is iSSll.t!d to and
another copy for lIte buildin.g permit files. The Treatment Certificate shall
providtI the prOdl{ct used, identity a/the applicaior~ time and date of tIt#!
treatment, .site location. area treated. chemical used. percellt concentration
and numbt!r of gallons used, to establish Q v~ri.fiable r(!cord of protective
trt!atment. If the joil cht!mical barriët ttzet/lod for termite prevention ij used,
final exterior treatment .r;hall be completed prior to final building a.pproval.
St Lucie County requires for the final inspection for CO, a Permanent
Sticker to be placed on the electrical panel box cover, listing ~U the
treatments and dates of applications.
NOTE:
There must be a completed form for each reqtÛred treatme1f,t or re-treatment and this f'OrIn must be on
the job site to be picked up by the inspector at time of each inspection. or the scheduled inspection will
fail and a re-il1,spedÎQn fee charged.
Signature of exterminator
Rt"iseJ 6/13101 dmg